Nancilee Black, ARNP

Primary specialty

Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X

License

ARNP1030102 Issued in FL

Practice address

11042 63Rd Ave
Seminole, FL 33772-6879

Phone

(727) 319-8447

NPI assigned

May 11, 2008

Last updated

May 11, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210464000000",
    "number": "1609043595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11042 63RD AVE",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337726879",
            "telephone_number": "727-319-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11042 63RD AVE",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337726879",
            "telephone_number": "727-319-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "NANCILEE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-11",
        "last_updated": "2008-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "FL",
            "license": "ARNP1030102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Joseph Berry
• Best Value Healthcare LLC (Oakhurst Medical Center)
• Stephanie Billiris
• Bio-Medical Applications of Florida, Inc. (Fresenius Kidney Care Seminole)
• Tiffany Jane Marie Bishop, DPT
• Elizabeth Blackledge
• Mary Blazier, LMHC
• Thuy Tran Boardman, PHD, MPH
• Bob Evans Hearing Center,Inc.
• Eileen Bohl

• Critical Care Neonatal Nurse Practitioner in Seminole, FL
• Providers in Seminole, FL by specialty
• Critical Care Neonatal Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.